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Functional Integrative Rehabilitation Education

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The 1st MTP

Functional Anatomy, Trigger Points and More...

Good Morning

 

I just released a new video excerpted from a recent Level 2 TPDN course. It's about one of my favorite articulations, the 1st MTP. One of the most important and most distal joints involved with the gait cycle whose dysfunction leads to a constellation of problems north in the kinetic chain.

 

Enjoy : )

 

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October 02, 2017

Beyond Needling Trigger Points

Beyond the Trigger Point

Many of us needle. We are taught to dry needle trigger points and sometimes (especially in the seminars I teach), to needle the segmental innervation of the muscle involved. But should we do more? I think so, and here is one paper on incorporating needling myofascial meridians along with trigger points that supports . . .

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September 25, 2017

The Quadratus Femoris

An often overlooked culprit

We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis.  It has also been implicated in some cases of femoroacetabular . . .

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May 18, 2017

More on that post operative fractured foot

the second article in a series

 

This is part 2 of a series following a case. If you missed part 1, please go here and read what we found. 

The patient returns 1 week later and reports being approximately 25% improved. She has been performing her "toes up" exercises while walking all the time. She is having some difficulty still with balance. She has . . .

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March 14, 2017

A Serial Case

Lets follow what I did on a recent post fracture foot

In this series, we will follow the progress of a post surgical, post rehab foot. These are the actual case notes and you can follow my thought process as we move along. 

Silvrback blog image

History:

JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are rare. Navicular . . .

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February 23, 2017

Return to the Suboccipitals

The Myodural Bridge Guest writer: Mitch Peritz DC

Once again, we are happy to have Dr Peritz write an excellent follow up to his last article (in case you missed it, click here). The next time you have a patient with an upper cervical problem, refer back to this article and think of all the far reaching implications of this often overlooked group.

 

The sub-occipital muscles (SOM) are . . .

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February 15, 2017

How's your Iliacus?

Have you thought about the importance of the iliacus? During gait? How about at initial contact and again at pre swing? (1) You realize it will be “turned off” if you have labral pathology, right? (2) Needling can be one way of “turning it back on”.(3)

Check out this brief video of one way to accomplish this. 

. . .

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February 09, 2017

Archive

All Categories: needling(35) tpdn(35) dry needling(26) acupuncture(25) trigger point dry needling(16) trigger point dry needling instruction(12) trigger point dry needling seminar(9) muscle layers(9) deep needling(9) dry needling instruction(9) rehab(7) intramuscular therapy(7) peroneus longus(7) trigger point dry needling seminars(7) gait(7) myofascial(6) trigger point seminar(6) education(6) trigger point dry needling courses(6) peroneus(6) posterior(6) dry needling seminar(6) intramuscular(6) rehabilitation(6) muscle action(6) trigger point dry needling course(6) rectus(5) foot(5) instability(5) clinical exam(5) muscle(5) continuing education(5) femoris(4) seminar(4) dry needling course(4) gluteus medius(4) course(4) vastus intermedius(4) vastus lateralis(4) lumbar(4) muscles(4) lumbar instability(4) lateralis(4) rectus femoris(4) neurology(4) spinal instability(4) exam(4) gluteus maximus(4) vastus(3) 1st mtp(3) dysfunction(3) tibialis(3) chronic(3) stimulation(3) trigger(3) continuing(3) extensor digitorum brevis(3) tibialis posterior(3) gluteus minimus(3) temporal summation(3) spacial summation(3) gon(2) superior(2) pain(2) hip(2) changes(2) vascular(2) vascular changes(2) ppd(2) counting(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) large diameter afferents(2) fiber(2) ehb(2) gluteus(2) extensor hallucis brevis(2) spine(2) therapy(2) quadriceps(2) inferior(2) headaches(2) obliquus(2) minor(2) headache(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) ankle(2) major(2) capitis(2) suboccipital muscles(2) suboccipital(2) levator scapula(2) levator(2) joint(2) glute(2) back(2) low(2) lbp(2) multifidus(2) facilitation(2) fracture(2) cuboid(2) navicular(2) extensor digitorum longus(2) quadratus(2) 1st(2) 1st ray(2) upper(1) gait cycle(1) latissimus dorsi(1) rectus capitis inferior(1) obliquus capitis inferior(1) layers(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) posterior oblique sling(1) psoas(1) oblique(1) sling(1) electrical(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) iliotibial band(1) superficial(1) posterior chain(1) quadratus femoris(1) hip pain(1) test(1) denervation(1) spinal(1) vibration(1) knee(1) sensory nerve fibers(1) osteoarthritis(1) it band(1) fibers(1) nerve(1) hamstring(1) sensory(1) insertional tendinitis(1) tensor fascia lata(1) afferents(1) diameter(1) it(1) large(1) vibratory sense(1) tfl(1) metatarsal phalangeal(1) sense(1) deep(1) extensor(1) hallucis(1) hallicis(1) brevis(1) soleus(1) thoracic(1) vibratory(1) thoracic spine(1) sensation(1) electrical stimulation(1) meridian(1) lift(1) multifidus lift test(1) divergence(1) hip flexor(1) low back pain(1) convergence(1) flexor(1) iliacus(1) vastus medialis(1) greater occipital nerve(1) metatarsal(1) neck(1) phalangeal(1) home

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